Stephanie Weiss
Cuyahoga Falls,Ohio
Summary
Seasoned, hardworking Registered Nurse with 18 years of experience in Emergency medicine, Health Coaching, and Care Management and discharge Coordination. Knowlegable about medicine, medical insurance coverage and processes, CMS guidelines and care transitions. Consistently provides compassionate care and develops relationships with patients and families through effective communication and empathy. Focused on interdisciplinary collaboration in order to prevent hospital readmissions, improve patient satisfaction and outcomes, and empower patients with the knowledge and resources to be active members of their care team and managers of their own health.
Overview
30
30
years of professional experience
1
1
Certification
Work History
RN Transitional Care Coordinator
Cleveland Clinic Marymount Hospital
08.2017 - Current
- Care Coordination assessment of incoming hospital patients
- Goal-setting with patient and family, determine potential care transition needs and follow up daily to reevaluate needs
- Collaborate with the interdisciplinary team to develop patient care plans and discharge plans
- Lead daily interdisciplinary rounds and participate in weekly length of stay reviews to identify discharge barriers and develop strategies to work through these barriers
- Ensure patient needs are met for safe transition to the next level of care
- Ensure compliance with enterprise, state, and national standards of care and CMS guidelines
Acute Care Transitions Coach
Direction Home Akron Canton Area Agency on Aging
06.2016 - 01.2017
- Conduct individualized post-hospital discharge visits with Medicare members in their home or rehab facility
- Review hospital discharge instructions and medications to ensure member/caregiver understanding and resolve any discrepancies
- Encourage timely follow-up with providers
- Educate members on their illness, symptoms to be aware of, and actions to take if symptoms occur
- Follow-up phone calls to review health goals and address concerns
Care Manager
Direction Home: Akron Canton Area Agency on Aging & Disabilities
01.2015 - 05.2016
- Assessment of client in-home needs; care planning and service planning
- Coordination of services, supplies and equipment through contact with client, family and interdisciplinary team
- Client and family education regarding managed care product, benefits, community resources, chronic disease management and optimal functioning in the home
- Ongoing support and care management of waiver program recipients.
- Detailed records maintenance in compliance with agency standards and insurance and government regulations.
- Developed and implemented individualized care plans and coordinated necessary services to avail quality care for clients.
Staff Nurse, Emergency Department
Western Reserve Hospital
01.2006 - 12.2015
- Conscientious and compassionate direct patient care in an emergency setting, prioritizing care and tasks based on patient acuity and available resources
- Superior assessment and prioritizing skills in a fast-paced environment
- Thorough and thoughtful care of and communication with patients and their families
- Planning and implementation of nursing and medical care plans
- Provide discharge to homegoing patients, including medication review, introduction of community resources if needed, and detailed explanation of testing completed, results, and next steps for follow up
- Precepting new department employees, both new graduates and experienced nurses
- Frequently fulfill charge nurse role, including staff supervision, delegation of tasks, and acting as a liaison between support staff, nurses, physicians and patients
- Developed patient follow-up phone call program and script to answer patient questions and positively impact the patient experience after ED discharge
- Developed 'Welcome to the Emergency Department' information sheet for patients to inform of what to expect during their visit.
Patient Discharge Coordinator
Western Reserve Hospital
01.2012 - 01.2013
- Coordination of discharge planning with the multidisciplinary team and with patients and their families to ensure a smooth transition from hospital to home and to optimize the patient experience and outcomes
- Case review to ensure compliance with CMS core measures
- Ensure Home Health Care, Durable Medical Equipment needs, and follow-up appointments are arranged prior to discharge
- In-depth education of patients and family members to develop a greater understanding of their conditions, medications and equipment and how to manage successfully at home
- Follow-up with patients after hospital discharge to answer questions and arrange additional services, if needed
- Data collection and reporting to analyze benefits of the Discharge Coordinator program
- Assisted in developing the processes and procedures for this newly created position
- Developed orientation manual and trained incoming Discharge Coordinator.
Medical Billing Research Specialist/Customer Service Specialist
Tri-Med
01.2003 - 01.2004
- Research and follow up of unpaid Radiology charges in order to secure payment
- Answer phone calls from patients and insurance carriers.
Medical Claim Processor/Rework Specialist
Aetna
01.1995 - 01.2002
- Review claim submission to determine medical necessity and apply cost containment measures
- Determine coverage benefits in order to properly adjudicate claim
- Review and adjust mispaid claims and analyze error trends
- Made recommendations to improve initial claim payment accuracy.
Education
Bachelor of Science - Nursing
Chamberlain
Downers Grove, IL03-2022
Associate Degree of Applied Science, Nursing -
Stark State College
North Canton, OH01.2006
Associate Degree of Applied Science, Legal Assisting -
The University of Akron
Akron, OH01.1995
Skills
- Collaborating with patients, families and multiple medical disciplines to optimize patient experiences and outcomes and prevent hospital readmissions
- Knowledge of managed care insurance, coding, Centers for Medicare & Medicaid Services (CMS) guidelines, healthcare regulations and medical billing processes
- Proficiency with multiple EMR systems and software applications, including Microsoft Word and Excel
- Ability to work quickly and independently while prioritizing and managing multiple tasks simultaneously
- Excellent verbal and written communication skills
Certification
- Accredited Case Manager - RN, National Board of Case Management (2018-2026)
Timeline
RN Transitional Care Coordinator
Cleveland Clinic Marymount Hospital
08.2017 - Current
Acute Care Transitions Coach
Direction Home Akron Canton Area Agency on Aging
06.2016 - 01.2017
Care Manager
Direction Home: Akron Canton Area Agency on Aging & Disabilities
01.2015 - 05.2016
Patient Discharge Coordinator
Western Reserve Hospital
01.2012 - 01.2013
Staff Nurse, Emergency Department
Western Reserve Hospital
01.2006 - 12.2015
Medical Billing Research Specialist/Customer Service Specialist
Tri-Med
01.2003 - 01.2004
Medical Claim Processor/Rework Specialist
Aetna
01.1995 - 01.2002
- Accredited Case Manager - RN, National Board of Case Management (2018-2026)
Bachelor of Science - Nursing
Chamberlain
Associate Degree of Applied Science, Nursing -
Stark State College
Associate Degree of Applied Science, Legal Assisting -
The University of Akron
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